# DR. BENJAMIN B BRIDGES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477694420
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 4301089757 | MI | — |
| 207RH0003X | Hematology & Oncology Physician | D86536 | MD | Yes |
| 207RH0003X | Hematology & Oncology Physician | M10441 | ID | — |

## Other

- **Enumeration date:** 02/11/2007
- **Last updated:** 03/20/2019
